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CONSOLIDATED BALANCE SHEETS (USD $)
In Thousands
Sep. 30, 2011
Dec. 31, 2010
Current Assets:  
Cash and cash equivalents$ 142,365$ 337,179
Restricted cash155,559116,734
Accounts receivable, less allowance for doubtful accounts of $1,985 and $2,286 at December 31, 2010 and September 30, 2011, respectively114,436106,934
Short-term investments (restricted investments of $114,903 and $140,707 at December 31, 2010 and September 30, 2011, respectively)240,753189,530
Deferred income taxes33,54128,439
Other current assets (restricted deposits of $21,302 and $21,716 at December 31, 2010 and September 30, 2011, respectively)72,46079,671
Total Current Assets759,114858,487
Property and equipment, net114,904111,814
Long-term investments (restricted investments of $84,950 and $13,396 at December 31, 2010 and September 30, 2011, respectively)13,39694,974
Deferred income taxes 825
Other long-term assets10,0362,396
Goodwill426,939426,939
Other intangible assets, net47,26853,997
Total Assets1,371,6571,549,432
Current Liabilities:  
Accounts payable19,24931,878
Accrued liabilities108,836105,776
Medical claims payable140,976142,671
Other medical liabilities95,517109,285
Current maturities of long-term capital lease obligation559559
Total Current Liabilities365,137390,169
Deferred income taxes11,164 
Tax contingencies109,066117,599
Deferred credits and other long-term liabilities6,7252,649
Total Liabilities492,092510,417
Preferred stock, par value $.01 per share Authorized - 10,000 shares - Issued and outstanding - none  
Other Stockholders' Equity:  
Additional paid-in capital794,845725,322
Retained earnings794,466694,582
Warrants outstanding 420
Accumulated other comprehensive income (loss)(293)9
Ordinary common stock in treasury, at cost, 9,905 shares and 16,633 shares at December 31, 2010 and September 30, 2011, respectively(709,904)(381,755)
Total Stockholders' Equity879,5651,039,015
Total Liabilities and Stockholders' Equity1,371,6571,549,432
Ordinary common stock
  
Current Liabilities:  
Common stock451437
Multi-Vote common stock
  
Current Liabilities:  
Common stock